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Remote Utilization Review Social Worker Jobs in Rochester, NY

Engage in the Utilization Review process for assigned cases every month * Respond to clinical ... NYS Independently Licensed Mental Health Provider (PhD, LCSW, LCSW-R, etc.) * Leadership experience ...

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Remote Utilization Review Social Worker information

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How much do remote utilization review social worker jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for remote utilization review social worker in Rochester, NY is $41.72, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.

What does a remote utilization review social worker do?

A Remote Utilization Review Social Worker evaluates patient care plans and medical records to ensure that healthcare services are medically necessary, appropriate, and cost-effective. Working remotely, they collaborate with healthcare providers, insurance companies, and patients to review treatment plans and make recommendations on care approvals or alternatives. Their goal is to help manage healthcare costs while ensuring patients receive the care they need, often working within hospitals, insurance companies, or third-party review organizations.

What are the key skills and qualifications needed to thrive as a remote utilization review social worker?

To thrive as a Remote Utilization Review Social Worker, you need a background in social work (often a MSW and relevant licensure), knowledge of medical terminology, and experience in patient care coordination. Familiarity with utilization management software, electronic health records (EHRs), and certification such as ACM or CCM is typically required. Strong analytical thinking, communication skills, and the ability to work independently are vital soft skills for this position. These skills ensure effective patient advocacy, compliance with regulations, and optimal resource utilization in a remote healthcare environment.

How does a remote utilization review social worker typically collaborate with interdisciplinary teams while working off-site?

Remote Utilization Review Social Workers regularly communicate with physicians, nurses, case managers, and insurance representatives through virtual meetings, secure emails, and electronic health record systems. Despite working remotely, they play a key role in ensuring appropriate patient care by reviewing cases, discussing treatment plans, and advocating for necessary services. Collaboration often involves scheduled case conferences and prompt responses to queries, requiring strong organizational and digital communication skills. Building effective working relationships remotely is crucial for delivering coordinated, patient-centered care.

What job categories do people searching Remote Utilization Review Social Worker jobs in Rochester, NY look for?

The top searched job categories for Remote Utilization Review Social Worker jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Remote Utilization Review Social Worker jobs?

Cities near Rochester, NY with the most Remote Utilization Review Social Worker job openings:

Remote Licensed Clinical Social Worker (LCSW or LCSW-R)

North Chili, NY โ€ข Remote

Full-time

Medical, Dental, Vision

Posted 6 days ago


Job description

Position Overview

Gotham Enterprises Ltd is actively seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW or LCSW-R) for a full-time remote position. This role offers an exceptional opportunity to make a meaningful difference in the lives of diverse patients and families, all while enjoying the flexibility of working from home.

About the Organization

Gotham Enterprises Ltd is committed to providing outstanding mental health care to the communities we serve. Our ethos centers around compassion, respect, and innovation, empowering our team of professionals to deliver high-quality support while prioritizing their well-being. By joining us, you will become part of a dynamic network that values collaboration and the continuous improvement of mental health services.

Work Environment

This remote role allows you to work from the comfort of your home, eliminating daily commutes and allowing for a healthy work-life balance. Our virtual work environment relies on advanced telehealth technologies, enabling our team to connect seamlessly with patients and collaborate effectively with colleagues. This flexible structure fosters an atmosphere where you can thrive personally and professionally.

Key Responsibilities
  • Conduct thorough clinical assessments utilizing telehealth platforms, creating tailored treatment plans that incorporate best practices and solution-focused interventions.

  • Deliver evidence-based therapeutic interventions such as cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT), customizing these approaches to meet the unique needs of clients in a remote setting.

  • Maintain accurate, secure clinical documentation using electronic health record (EHR) systems, ensuring compliance with regulations and standards across all interactions.

  • Effective collaboration with a multidisciplinary treatment teamโ€”including psychiatrists, psychologists, and fellow social workersโ€”will occur through regular virtual meetings, enhancing the overall quality of care provided.

  • Participate in case consultations and peer review sessions using video conferencing tools to maintain high standards of care.

  • Provide education to patients and their families regarding mental health issues, treatment options, and community resources, leveraging digital tools for effective communication.

  • Stay abreast of the latest mental health research and advancements through virtual conferences and online resources, integrating your findings into your clinical practice.

Patient Population / Client Focus

You will engage with a diverse array of patients, each facing unique mental health challenges. Your role will focus on not only diagnosing and treating various psychological conditions but also ensuring that every patient feels heard and supported in their journey toward mental wellness.

Qualifications
  • A Master's degree in Social Work from an accredited institution.

  • A valid state license to practice as a Licensed Clinical Social Worker (LCSW) or Licensed Specialist Clinical Social Worker (LCSW-R).

  • At least 2 years of clinical experience in providing psychotherapy services.

  • Proven expertise in solution-focused interventions and adaptability in remote service delivery.

  • Exceptional communication and interpersonal skills, critical for building trust and rapport with clients via virtual mediums.

  • Strong problem-solving capabilities with the ability to navigate challenges unique to remote work settings.

  • Proficiency in working both independently and collaboratively within a virtual team structure.

Preferred Experience

Experience in a school setting or with school-age populations is advantageous, as it allows for a deeper understanding of the specific mental health needs and pressures faced by young individuals, enabling you to provide tailored support effectively.

Compensation and Benefits
  • Our competitive salary range is USD 80,000 to 104,000 annually, reflecting the value we place on skilled social work professionals.

  • Our comprehensive benefits package includes medical, dental, and vision insurance to support your well-being.

  • We offer life and disability insurance for peace of mind, as well as malpractice insurance to support your telehealth practice.

  • Access to an employee assistance program provides additional mental health support and counseling services.

Career Growth Opportunities

At Gotham Enterprises Ltd, we invest in the professional development of our staff. Opportunities for continued education, such as attending workshops, webinars, and conferences, are readily available, fostering your growth in the mental health field. We encourage our team members to pursue specialized certifications that can enhance their skill sets and career trajectories.

Why Join Our Team

Joining Gotham Enterprises Ltd means becoming part of a team that genuinely cares about making a difference. We prioritize the professional satisfaction and work-life balance of our employees, understanding that well-supported professionals translate to better care for our patients. If you are looking for a fulfilling role within a supportive and innovative environment, we encourage you to apply.

Application Information

If you are ready to take on this rewarding challenge and join our exceptional team, please submit your resume along with a cover letter detailing your qualifications and why you would be a great fit for this remote Licensed Clinical Social Worker position.